Exam (elaborations)
NURS 315: Postpartum Hemorrhage – Qs And As (100%)
- Course
- Institution
NURS 315: Postpartum Hemorrhage – Qs And As (100%)
[Show more]
Content preview
NURS 315: Postpartum Hemorrhage – Qs And As(100%)
Definition of a hemorrhage with a vaginal delivery Right Ans - blood loss
greater than 500cc from vaginal delivery
Definition of a hemorrhage with a c-section Right Ans - blood loss greater
than 1,000cc from c/s delivery
EBL Right Ans - estimated blood loss
QBL Right Ans - quantified blood loss
S/S of hemorrhage Right Ans - • Lightheadedness
• Tachycardia
• Syncope
• Fatigue
• Oliguria
• Soaked Peri-Pad
• Shortness of breath
Risk factors for PPH Right Ans - • Multiple Gestation
• Large baby (LGA, macrosomia)
• Polyhydramnios (too much amniotic fluid)
• Multipartity (particularly grand multiparity, more than 5-term pregnancies)
-> the uterus is getting tired
• Prolonged labor (uterine inertia)
• Labor augmented with Pitocin (relaxes the uterine muscle)
• General Anesthesia
• Placenta Previa
• Abruptio Placentae
• Magnesium Sulfate infusion
Why do you give magnesium sulfate in L&D? Right Ans - - pre-eclampsia
- neuro protection (give 12 hrs before pre-term baby is born)
What are the 4 causes of PPH? Right Ans - Tone
Trauma
, Tissue
Thrombin
Tone Right Ans - lack of uterine tone (uterine atony)
- the uterus is soft and boggy + steady blood loss
Treatment to fix tone Right Ans - - fundal massage
- urination (uterus will be displaced to the right side if the bladder is full)
- medications
Trauma Right Ans - damage to genital structures (uterus, cervix, vagina,
and perineum)
- AN EMERGENCY!
Tissue Right Ans - Placental fragments retained in the uterine cavity
Prevention of tissue Right Ans - Make sure the placenta comes out INTACT!
or remove any pieces that don't
Thrombin Right Ans - blood clotting
- could be genetic
Prevention of PPH Right Ans - #1: breastfeeding immediately after delivery
- massage the uterus to express clots
- empty bladder
- repair lacerations
- IV Pitocin
Management of PPH ... #1 Right Ans - • First assess uterine position &
Lochia, L.O.C.
• First action: massage uterus
• First action: Call for help! At least one nurse to help and one to record. Get
hemorrhage kit/cart.
• Obtain vital signs (decreased BP and O2, increased HR)
• Delegate to other staff
• Call MD
• Hang IV- wait for order to start - run bolus
Management of PPH... #2 Right Ans - • Get order for Pitocin/Oxytocin
The benefits of buying summaries with Stuvia:
Guaranteed quality through customer reviews
Stuvia customers have reviewed more than 700,000 summaries. This how you know that you are buying the best documents.
Quick and easy check-out
You can quickly pay through credit card or Stuvia-credit for the summaries. There is no membership needed.
Focus on what matters
Your fellow students write the study notes themselves, which is why the documents are always reliable and up-to-date. This ensures you quickly get to the core!
Frequently asked questions
What do I get when I buy this document?
You get a PDF, available immediately after your purchase. The purchased document is accessible anytime, anywhere and indefinitely through your profile.
Satisfaction guarantee: how does it work?
Our satisfaction guarantee ensures that you always find a study document that suits you well. You fill out a form, and our customer service team takes care of the rest.
Who am I buying these notes from?
Stuvia is a marketplace, so you are not buying this document from us, but from seller Studyhall. Stuvia facilitates payment to the seller.
Will I be stuck with a subscription?
No, you only buy these notes for $9.99. You're not tied to anything after your purchase.
Can Stuvia be trusted?
4.6 stars on Google & Trustpilot (+1000 reviews)
82871 documents were sold in the last 30 days
Founded in 2010, the go-to place to buy study notes for 14 years now